Tribal Application

Membership Application

This mandatory form includes personal identification along with socioeconomic questions. Only complete applications can be submitted.
Personal Identification

Answers will appear on your tribal identification card. Answers must match current identification card.
Appellation*

FirstMiddleLastSuffix
Solar Return *

MonthDayYear
Born Day
Height*
Weight*
Sex*
Provide your biological status.
Eye Color*
Provide your natural eye color.
Upload Identification Card*

Capture all edges of identification card, on both sides, and upload.
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Upload Passport Photo*

The photo must be in color. The photo must be taken with a plain white or off-white background. The photo must have a clear image of your face, and no filters. The photo must be recent, taken in the last six months. The image should be 1MB or more, but not exceeding 15MB. The image should be formatted at jpg, jpeg, gif, or png. The photo should be 2 x 2 inches (51 x 51 mm). Your expression should be neutral, no smiling, and your eyes open. No selfies allowed. Someone else must take the photo, or you can use a tripod.
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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / [Zip Code]
Additional Information

Collected to build your membership profile, pending approval.
Email*
example@example.com
Your Passion*
Something you are willing to do for free, if the opportunity presents itself.
Volunteerism*
Lend your expertise or passion to our community.
Affiliations
Educational, organizational, professional, or social groups.
Socioeconomic Poll

Construct that includes income, education status
Education Level*
Employment*
Select your current employment status.
Are you interested in Workforce Development programs?*

YesNo
Career Level*
In current or past industry.
Industry*
Select your professional industry. If not applicable, select N/A
Household Member Groups*
Number of Household Members*
You, your spouse, and any children or relatives you support.
Household Income*
Technology Skill Level*
Select the single option that best identifies your technological abilities; N/A is final option.
Technology Skills*
Lend your expertise or passion to our community.
I declare the following:
I am a U.S. citizen or member of another qualifying indigenous tribe.*

YesNo
I currently identify as African American or Indigenous American plus the remaining:*

YesNo
I am a descendant of ancestors classified in the United States census as one of the following: Negro, Freedman, All other Free; Free Persons of Color, Mulatto, or Black Indians during or before 1619 through 1865.*

YesNo
I will self-identify as Indigenous and discontinue self-identifying as Negro, African American, Black, Colored, Person of Color or Minority.*

YesNo
Application Disclaimer: By submitting this application, you acknowledge and agree to the following: Eligibility and Approval: Applicants must meet all stated requirements to be approved for membership in the tribe. Growth and Development: As the tribe evolves, changes may be implemented to support its growth and betterment, including but not limited to tributes or additional requirements. Processing Fee: The application fee covers processing, issuance of a tribal ID card, and mailing. This fee is non-refundable, regardless of application outcome. Member Responsibilities: Members are required to submit an annual Level Up affidavit, demonstrating efforts to enhance their socioeconomic status unless they are professionally peaked or retired. Access to the members-only section may incur additional fees, such as technology fees, merchandise purchases, or participation in educational programs. Privacy Protection: We are committed to safeguarding your personal information. Your data will not be sold, and you may opt out of being listed in the member directory. By proceeding, you agree to these terms and commit to contributing to the tribe’s collective growth and self-determination journey.*

YesNo
Email Validator*